DR. CHARLES M. LUTZ (O.D.) – Optometrist, NPI 1750340741

DR. CHARLES M. LUTZ (O.D.) is a healthcare provider. based in Alton, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. T03108 (MO). The NPI Number for DR. CHARLES M. LUTZ (O.D.) is 1750340741

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES M. LUTZ (O.D.)
NPI
1750340741
Phone
(636) 916-5367
Address
211 E BROADWAY
Enumeration Date
20 March 2006
Last Update Date
19 December 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
3145331898
Graduation Year
1993 (33 years ago)
PAC ID
2264565225
Group Practice PAC ID
1456256346
Professional Enrollment ID
I20100728000863
Address ID
MO631082913SA4145XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for DR. CHARLES M. LUTZ (O.D.)

  • 211, East Broadway, Alton, Madison County, Illinois, 62002, United States

    ALTON, IL 620026220

    Phone: (636) 916-5367

    Fax: (800) 432-6004

    Type: Mailing

  • 1944, Zumbehl Road, Saint Charles, Saint Charles County, Missouri, 63303, United States

    SAINT CHARLES, MO 633032721

    Phone: (636) 916-5367

    Fax: (800) 432-6004

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $810.

Total Amount is formed as General ($810) + Research ($0) + Ownership ($0) = $810.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($443).

Total Amount

$810

General + Research + Ownership

Payments

8

Total payment records

General Amount

$810

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100728000863IOptometryMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes2221$0
View full utilization report →

Insurance plans in this area (ZIP 62002)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456256346View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YMO
-IL
O P T O M E T R YMO
O P T O M E T R YNH
O P T O M E T R YIL
-MO
O P T O M E T R YMO

Reviews

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Frequently asked questions

What unique ID ties claims to DR. CHARLES M. LUTZ (O.D.)?
NPI 1750340741 is assigned to DR. CHARLES M. LUTZ (O.D.) under the national enumeration system.
Does this profile mean DR. CHARLES M. LUTZ (O.D.) is currently active?
Yes — DR. CHARLES M. LUTZ (O.D.) appears active in the national provider directory.
What field does DR. CHARLES M. LUTZ (O.D.) work in?
You can think of DR. CHARLES M. LUTZ (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. CHARLES M. LUTZ (O.D.) practice in Illinois?
You will see Alton, Illinois on file for DR. CHARLES M. LUTZ (O.D.) alongside any extra practice locations.
Is DR. CHARLES M. LUTZ (O.D.) a real provider?
This page reflects official NPPES data for NPI 1750340741. Always confirm identity and privileges with the practice and licensing boards.

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